Individual
CLARENCE SKIPPER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2012 N 10TH ST, BROKEN ARROW, OK 74012-9277
(918) 906-0808
Mailing address
2012 N 10TH ST, BROKEN ARROW, OK 74012-9277
(918) 906-0808
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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